IngentaConnect Compliance behaviour in patients undergoing haemodialysis: a revi...

Authors: Hailey B. J.¹; Moss S. B.¹

Source: Psychology, Health and Medicine, Volume 5, Number 4, 1 November 2000 , pp. 395-406(12)

Publisher: Routledge, part of the Taylor & Francis Group

Abstract:

This review paper describes end-stage renal disease (ESRD) and a common treatment for it—haemodialysis. Haemodialysis requires patients to commit considerable time to their treatment, to comply with strict dietary and fluid restrictions, and to take medication on a regular basis. Noncompliance among dialysis patients is a major problem, even though it has been shown to be inversely related to survival. Rates of noncompliance depend upon how it is defined. Most research has evaluated the relationship between sociodemographic variables and noncompliance. Some of these findings are fairly robust, for example younger dialysis patients are typically less compliant than older patients. Although it is interesting to know what these factors are, the value of these finding is somewhat limited because sociodemographic variables are typically not amenable to planned interventions. Some researchers have suggested that it may be more helpful to investigate attitudes and beliefs of patients that are associated with noncompliance. A promising direction of research examines person by context interactions. This framework suggests that patient characteristics may be predictive of compliance only under certain circumstances. In terms of intervention studies to increase compliance, there is very little in the literature. It is suggested that interventions be developed and tested that use the person by context interaction framework.

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Compliance behaviour in patients undergoing haemodialysis: a review of the literature